Katie Lynn Boeskool (NPI# 1437522364, PAC ID# 3476895079) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1437522364 |
| PAC ID by PECOS | 3476895079 |
| Professional Enrollment ID | I20190501001188 |
| Full Name | Katie Lynn Boeskool |
| Organization Legal Name | MYEYEDR OPTOMETRY OF GEORGIA, LLC |
| Address |
2003 Commerce Dr Kingsland GA 31548-6767 |
| Phone Number | 9128823040 |
| Gender | F |
| Medical School | FERRIS STATE COLLEGE - COLLEGE OF OPTOMETRY |
| Graduation Year | 2015 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 8224261201 |
| Number of Group Practice Members | 71 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2003 Commerce Dr, Kingsland, GA 31548-6767 | 9128823040 | MYEYEDR OPTOMETRY OF GEORGIA, LLC |
| Organization Legal Name | MYEYEDR OPTOMETRY OF GEORGIA, LLC |
| Physicians | 81 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kwon Jung Choe | Optometry | Myeyedr Optometry of Georgia, LLC | 3975 Old Milton Pkwy, Suite 2, Alpharetta, GA 30005-4467 |
| Danny J Garcia | Optometry | Myeyedr Optometry of Georgia, LLC | 4521 17th Ave, Columbus, GA 31904-6344 |
| Zachary Boeskool | Optometry | Myeyedr Optometry of Georgia, LLC | 2209 Memorial Dr, Waycross, GA 31501-0902 |
| Rafael A Gamba | Optometry | Myeyedr Optometry of Georgia, LLC | 5940 Roswell Rd, Atlanta, GA 30328-4908 |
| Peggy S Achenbach | Optometry | Myeyedr Optometry of Georgia, LLC | 2215 Memorial Dr, Suite 25, Waycross, GA 31501-0987 |
| Tsani R Watson | Optometry | Myeyedr Optometry of Georgia, LLC | 3155 Cobb Pkwy Se, Suite 110, Atlanta, GA 30339-5535 |
| Robert Adam Young | Optometry | Myeyedr Optometry of Georgia, LLC | 9801 Hwy 92, Suite 100, Woodstock, GA 30188-6454 |
| Romanda Basaly Basaly Demetrios | Optometry | Myeyedr Optometry of Georgia, LLC | 12924 Hwy 92, Suite 100, Woodstock, GA 30188-5193 |
| Jarvis Dewayne Johnson | Optometry | Myeyedr Optometry of Georgia, LLC | 2485 N Columbia St, Milledgeville, GA 31061-5421 |
| Lindsey C. Eisenberg | Optometry | Myeyedr Optometry of Georgia, LLC | 2549 Piedmont Rd Ne, Atlanta, GA 30324-3023 |
| Street Address |
2003 COMMERCE DR |
| City | KINGSLAND |
| State | GA |
| Zip | 31548-6767 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kiah Summer Williams | Optometry | Myeyedr Optometry of Georgia, LLC | 2003 Commerce Dr, Kingsland, GA 31548-6767 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Julie A Wright | Optometry | 1891 Hwy 40 E 1108, Kingsland, GA 31548 | |
| Lauren Cleveland | Nurse Practitioner | Mckinney Medical Center Inc | 711 Charles Gilman Jr Ave, Suite B, Kingsland, GA 31548-5664 |
| Marion Thomas Bailey Jr. | Internal Medicine | Camden Healthcare Assoc Inc | 130 N Gross Rd, Suite 201, Kingsland, GA 31548-6277 |
| Sally D Bennett | Nurse Practitioner | Camden Healthcare Assoc Inc | 130 N Gross Rd, Suite 201, Kingsland, GA 31548-6277 |
| Beverly A Cyphers | Nurse Practitioner | Camden Healthcare Assoc Inc | 130 N Gross Rd, Suite 201, Kingsland, GA 31548-6277 |
| Kimberly Hope Graw | Nurse Practitioner | Camden Healthcare Assoc Inc | 130 N Gross Rd, Suite 201, Kingsland, GA 31548-6277 |
| Jimmy Diaz | Internal Medicine | 130 N Gross Rd, Suite 202, Kingsland, GA 31548-6277 | |
| Alicia Thrift | Nurse Practitioner | Gateway Behavioral Health Services | 700 Charles Gilman Jr Ave, Kingsland, GA 31548-6292 |
| Robert D Houghteling | Optometry | 1601 Hwy 40 E, Suite N, Kingsland, GA 31548-6501 | |
| Yvonne M Tyson | Nurse Practitioner | Applecare LLC | 1481 Hwy 40 E, Kingsland, GA 31548-6507 |
| Find all physicians in zip 31548 | |||
| City | KINGSLAND |
| Zip Code | 31548 |
| Specialty | OPTOMETRY |
| City + Specialty | KINGSLAND + OPTOMETRY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.